Individual
DR. BRIAN BRUCE DURSTELER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13677 W MCDOWELL RD, GOODYEAR, AZ 85338-2618
(623) 882-1500
Mailing address
7021 E EARLL DR, STE 202, SCOTTSDALE, AZ 85251-6318
(480) 949-2764
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
28901
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3981220
EVERCARE GROUP
AZ
05
—
545486
—
AZ
01
—
AW1436
HEALTHNET GROUP
—
01
—
AZ0728670
BLUE CROSS & BLUE SHIELD
AZ
Enumeration date
12/20/2005
Last updated
07/08/2007
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